Pass the NCLEX NCLEX Certification NCLEX-PN Questions and answers with CertsForce

Preschool-age children require bedtime rituals that should be followed in the hospital if possible. Choice 1

increases a child’s fear. Choices 2 and 4 do not promote sleep.Basic Care and Comfort

Confidentiality is the maintenance of privacy of information. The question does not suggest that confidentiality

has been breached. The client is likely to demand the other rights and may exercise them in choosing to leave the

hospital early.Coordinated Care

A client with an infection needs both antibiotics as soon a possible. However, the pH of ampicillin is 8–10,

and the pH of gentamicin is 3–5.5 (making them incompatible when given together). Flushing well between

drugs is necessary. Choice 3 is incorrect because the PN determines the correct steps and consults with the

pharmacist and the physician as necessary. Choice 4 is incorrect because delaying the second medication by

several hours slows the treatment of the client’s infection.Pharmacological Therapies

Assessment is the first step. Assessing what the client eats helps the nurse determine a plan for dietary

recommendations based on the ADA and AHA guidelines. Providing the client with a copy of the guidelines is

important but is not the first priority. Based on the client’s wish to reduce her chances of heart disease and

diabetes, a high-protein diet plan might not be appropriate. Providing information to the client related to risk

factors for heart disease and diabetes is important but is not the first step.Health Promotion and Management

Special hair, skin, and nail care might be required for African-American clients.Psychosocial Integrity

Tattooing puts a client at risk for blood-borne hepatitis B or C if strict sterile procedures are not followed.

Tuberculosis is an airborne pathogen, while herpes and syphilis are spread directly (such as through sexual

contact).Safety and Infection Control

Transference phenomena are intensified in relationships with authority, such as physicians and nurses.

Common positive transferences include desire for affection and gratification of dependency needs. Common

negative transferences include hostility and competitiveness. These transferences must be recognized and

resolved before growth and positive change can be undertaken in the working stage.Psychosocial Integrity

The hypothalamus, when injured, can cause fluctuations and disruptions in sleep patterns.Basic Care and

Comfort

A small amount of bubbling is a normal finding in the water seal of a pleural drainage system when a client coughs. It is only a problem to find continuous, excessive bubbling in the waterseal, which indicates a leak.Reduction of Risk Potential

Lidocaine Hydrochloride can cause fatigue and confusion if an over dosage occurs.

Hallway discussions should not occur, because you do not who is listening, even though it may be a professional discussion.

1.0-1.2 mEq/L is considered standard therapeutic range for patient care.

Elevated pH and low CO2 level indicate respiratory alkalosis, no compensation is noted.

When a client is neutropenic (one type of white blood cell), they lack the ability to fight off infection. The mask is to prevent exposure to any upper-respiratory infections. Fresh fruits, vegetables, and flowers can contain pathogens that might infect the neutropenic client. All foods must be thoroughly cooked and plants/flowers are not allowed. A neutropenic client needs a private room and carefully screened visitors—no one is to enter the room withanysymptoms of an illness (runny nose, sneezing, nausea, and so on). Meticulous, frequent hand washing is called for.Physiological Adaptation

Pitressin is a hormone replacement medication.